MR. JAMIE JUDE BOUDREAU M.A., LCPC
NPI 1538189170
Counselor - Mental Health in Bourbonnais, IL

Q: What is Jamie Boudreau's NPI number?

The NPI number for Jamie Boudreau is 1538189170. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Jamie Boudreau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Jamie Boudreau enrolled in Medicare?

No. Jamie Boudreau has opted out of Medicare through December 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jamie Boudreau was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2006Opted out of Medicare · through Dec 31, 2026

PO BOX 633, BOURBONNAIS, IL 60914(815) 933-4072(815) 933-5564 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jamie Jude Boudreau M.a., Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMIE JUDE BOUDREAU M.A., LCPC (NPI 1538189170) is an individual mental health provider in Bourbonnais, Illinois, licensed in Illinois (180-002566) and active in the NPI registry since July 2006. He has opted out of Medicare through December 31, 2026.

NPPES Registry Identity

NPI1538189170

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JAMIE JUDE BOUDREAUCredential: M.A., LCPC

Location AddressPO BOX 633Bourbonnais, IL 60914-0633

Mailing AddressPo Box 633Bourbonnais, IL 60914-0633 · (815) 933-4072 · Fax (815) 933-5564

Phone(815) 933-4072

Fax(815) 933-5564

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateJune 17, 2024

NPPES CertifiedJune 17, 2024

✔ NPI 1538189170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180-002566

PO BOX 633, Bourbonnais, IL 60914

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jamie Jude Boudreau M.a., Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 31, 2024 through December 31, 2026.

Opt-Out Effective DateDecember 31, 2024

Opt-Out In Effect ThroughDecember 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Boudreau's NPI number?

The NPI number for Jamie Boudreau is 1538189170. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jamie Boudreau located?

Jamie Boudreau practices at PO Box 633, Bourbonnais, IL 60914. The listed phone number is (815) 933-4072.

What is Jamie Boudreau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jamie Boudreau enrolled in Medicare?

No. Jamie Boudreau has opted out of Medicare through December 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jamie Boudreau was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.